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Silent cardiac comorbidity in arthroplasty patients: an unusual suspect?
MedLine Citation:
PMID:  20381288     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We studied 109 patients who were subjected to dobutamine stress echocardiography (DSE) for preoperative cardiac risk assessment before undergoing elective primary hip and knee arthroplasty. Patients were selected for DSE based on several criteria. There were 16 patients with history of ischemic heart disease and 93 patients without. Seven of the 93 patients showed a positive DSE test result, of which 5 developed postoperative cardiac events (P = .00). This study clearly shows that serious "silent" cardiac comorbidity can exist even in so-called healthier patients undergoing routine hip and knee arthroplasty. We believe that identifying these patients and treating them before arthroplasty can significantly improve the overall outcome of the surgery.
Authors:
Vijay D Shetty; Santosh P Nazare; Bhushan R Shitole; Sanjeev K Jain; A V Ganesh Kumar
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Publication Detail:
Type:  Journal Article     Date:  2010-04-08
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  26     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  375-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Hiranandani Orthopaedic Medical Education (HOME), Department of Orthopaedics, Dr LH Hiranandani Hospital, Hiranandani Gardens, Powai Mumbai, India.
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